A Case of Intrasellar Craniopharyngioma
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概要
- 論文の詳細を見る
A 71-year-old man was referred to Tokai University Hospital because of cold intolerance, slow speech and slowing down of his intellectual and motor activities. Free thyroxine index, and free T-4 and T-3 levels were low (1.4, 0.7 ng/dl and 0.4 ng/ml, respectively) with normal TSH (2.5 μIU/ml). A skull X-ray showed enlargement of the sella turcica and his CT scan revealed an intrasellar mass. LH, FSH, ACTH and PRL did not rise in response to the intravenous administration of LH-RH and insulin. A diagnosis of pan-hypopituitarism due to a pituitary tumor was established. The release of ACTH and cortisol was restored under stimulation of CRF or lysine vasopressin. TSH responded to TRH in a delayed manner. The pituitary tumor was removed by a transsphenoidal operation and diagnosed histologically as craniopharyngioma. Our hospital has experienced nine cases of craniopharyngioma in the last 10 years but the present case was the only intrasellar craniopharyngioma.
- 東海大学の論文
著者
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ARIMORI Shigeru
Department of Internal Medicine, School of Medicine, Tokai University
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HIRAMATSU Kazuko
Department of Internal Medicine, Tokai University School of Medicine
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Hiramatsu Kazuko
Department Of Internal Medicine School Of Medicine Tokai University
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TAKAHASHI Katsutaka
Department of Internal Medicine, School of Medicine, Tokai University
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IKEDA Akira
Department of Neurosurgery, Chukyo Hospital
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Ikeda Akira
Department Of Anatomy Kawasaki Medical School
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Arimori Shigeru
Department Of Intenal Medicine School Of Medicine Tokai University
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Hiramatsu Kazuko
Department Of Internal Medicine Kawasaki Kyodo Hospital
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Takahashi Katsutaka
Department Of Internal Medicine School Of Medicine Tokai University
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Ikeda Akira
Department Of Neurosurgery School Of Medicine Tokai University
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Ikeda Akira
Department Of 1st Anatomy School Of Medicine Hiroshima University
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